Spot Diagnosis NEET PG 2025 Batch -1

Rapid Revision Subject : OBG HISTORY CLINCHERS SPOT DIAGNOSIS

NEET PG
Total topics : 250 Answers GUESS - SWIPE - LEARN

1. Woman with amenorrhea, positive pregnancy test, and closed cervical os – Threatened
abortion
2. Woman with amenorrhea, bleeding, and open os with products seen at os – Incomplete
abortion
3. Woman with amenorrhea, bleeding, and closed os with retained products – Missed
abortion
4. Severe abdominal pain, shoulder tip pain, and empty uterus on TVS – Ectopic pregnancy
5. First trimester pregnancy, uterus larger than dates, snowstorm appearance – Hydatidiform
mole
6. Sudden painless bleeding at 32 weeks, high presenting part, no pain – Placenta previa
7. Painful bleeding at 34 weeks, uterine tenderness, fetal distress – Abruptio placentae
8. First trimester bleeding, fetal cardiac activity present, os closed – Threatened abortion
9. Positive pregnancy test, adnexal mass, and free fluid in pouch of Douglas – Ruptured
ectopic pregnancy
10. Amenorrhea, vaginal bleeding, and β-hCG >100,000 – Molar pregnancy
11. Previous cesarean, placenta attached to myometrium – Placenta accreta
12. Sudden uterine rupture, fetal parts palpable, maternal distress – Uterine rupture

SPOT DIAGNOSIS
13. Pregnant woman with seizures, high BP, and proteinuria – Eclampsia
14. 20-week pregnancy, BP 160/100, pedal edema, proteinuria – Preeclampsia
15. Severe hypertension, low platelets,NEET
high AST/ALTPG
– HELLP syndrome
16. Polyhydramnios, absent stomach bubble, increased AFI – Esophageal atresia
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17. Oligohydramnios, fetal growth restriction, absent diastolic flow – Placental insufficiency
18. Pregnancy with severe itching, elevated bile acids – Intrahepatic cholestasis of
pregnancy
19. Pregnancy with hemolysis, low platelets, schistocytes – HELLP syndrome
20. Polyhydramnios, maternal diabetes, macrosomia – Uncontrolled gestational diabetes
21. Pregnancy with sudden dyspnea, hypotension, and cyanosis – Amniotic fluid embolism
22. First trimester pregnancy with rubella infection – Congenital rubella syndrome
23. Pregnancy with periventricular calcification and IUGR – CMV infection
24. Pregnancy with hydrops, hepatosplenomegaly, and anemia – Parvovirus B19 infection
25. History of two mid-trimester losses, painless cervical dilatation – Cervical incompetence
26. Positive fetal fibronectin and short cervix on TVS – Preterm labor risk
27. Uterine contractions, cervical effacement at 30 weeks – Preterm labor
28. PPROM with no labor, 32 weeks, afebrile – Expectant management of PPROM

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29. PPROM with fever, uterine tenderness, foul discharge – Chorioamnionitis

30. Painless dilatation of cervix in 2nd trimester – Cervical insufficiency
31. Woman with previous LSCS, complaining of scar tenderness – Impending scar rupture
32. Previous cesarean with low-lying placenta and lacunae – Placenta accreta
33. Uterus not retracted, boggy, bleeding postpartum – Uterine atony
34. Postpartum bleeding, firmly contracted uterus – Genital tract laceration
35. Firm uterus, bleeding 7 days postpartum – Retained placental bits
36. Inversion of uterus, shock disproportionate to bleeding – Uterine inversion
37. Postpartum fever, foul-smelling lochia, uterine tenderness – Puerperal sepsis
38. Cessation of lactation, hypotension, fatigue – Sheehan’s syndrome
39. Postpartum woman with agitation, confusion, and hallucinations – Postpartum psychosis
40. Postpartum day 2, boggy swelling in perineum – Vulvar hematoma
41. Breast pain, fever, red, tender swelling during lactation – Lactational mastitis
42. Engorged breast, febrile, fluctuant mass – Breast abscess
43. Failure to lactate, low prolactin, post PPH – Sheehan’s syndrome

SPOT DIAGNOSIS
44. Pregnancy with hyperpigmentation, low cortisol – Addison’s disease in pregnancy
45. Facial puffiness, dry skin, weight gain in pregnancy – Hypothyroidism
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46. Pregnancy with tremors, palpitations, PG
high FT4, low TSH – Hyperthyroidism
47. Woman with galactorrhea, amenorrhea, and high prolactin – Prolactinoma
48. Young female with hirsutism, acne,GUESS - SWIPE
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periods – PCOS
49. History of OCP use, liver mass, high AFP – Hepatic adenoma
50. Woman with hypomenorrhea, history of D&C – Asherman’s syndrome
51. Secondary amenorrhea, no withdrawal bleed, low FSH/LH – Hypothalamic amenorrhea
52. Cyclical pelvic pain, dyspareunia, infertility – Endometriosis
53. Enlarged tender uterus, dysmenorrhea, menorrhagia – Adenomyosis
54. Enlarged non-tender uterus with bosselated surface – Uterine fibroid
55. Rapidly enlarging uterine mass, postmenopausal – Leiomyosarcoma
56. Menorrhagia, irregular enlarged uterus, anemia – Fibroid uterus
57. Intermenstrual bleeding, postcoital spotting, friable cervix – Cervical cancer
58. Smoker with HSIL on Pap smear – Cervical intraepithelial neoplasia III
59. Postmenopausal bleeding, thick endometrium on TVS – Endometrial hyperplasia
60. Obese woman, diabetes, postmenopausal bleeding – Endometrial carcinoma

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61. Early menarche, late menopause, infertility, estrogen therapy – Endometrial carcinoma
risk
62. Postmenopausal bleeding, thin endometrium, atrophic changes – Atrophic endometritis
63. Teenage girl with breast development but no menstruation – Müllerian agenesis
64. Cyclical abdominal pain, no vaginal opening – Imperforate hymen
65. Recurrent UTI, dyspareunia, midline mass – Transverse vaginal septum
66. Primary amenorrhea, short stature, high FSH – Turner syndrome
67. Primary amenorrhea, anosmia, low GnRH – Kallmann syndrome
68. Cyclical hematuria, no vaginal bleeding – Vesicouterine fistula
69. Continuous urinary leak, no urge – Vesicovaginal fistula
70. History of obstructed labor, perineal trauma, fecal incontinence – Rectovaginal fistula
71. Multiple sexual partners, postcoital bleeding, cervical ulcer – Cervical carcinoma
72. HPV 16/18 infection, koilocytosis on smear – CIN II or III
73. Incomplete abortion, open os, bleeding, products in canal – Incomplete abortion
74. Amenorrhea, negative UPT, enlarged uterus, blo ated abdomen – Ovarian tumor
75. Adolescent with large adnexal mass, elevated LDH – Dysgerminoma
SPOT DIAGNOSIS
76. Ovarian mass with increased AFP – Endodermal sinus tumor

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77. Postmenopausal woman with unilateral adnexal mass, solid-cystic – Serous
cystadenocarcinoma
78. Young woman with bilateral ovarian masses, thick mucinous content – Mucinous
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79. Solid ovarian tumor, virilization, high testosterone – Sertoli-Leydig tumor

80. Granulosa cell tumor with precocious puberty – Estrogen-secreting ovarian tumor
81. Enlarged ovary, ascites, pleural effusion – Meigs syndrome
82. Sudden onset pelvic pain, enlarged tender adnexa – Ovarian torsion
83. 5 months post molar evacuation, rising β-hCG – Choriocarcinoma
84. Molar pregnancy with lung mets, high β-hCG – Gestational trophoblastic neoplasia
85. Vaginal bleeding, grape-like vesicles, uterine size > dates – Complete molar pregnancy
86. Vaginal bleeding, fetal parts palpable, retained placenta – Incomplete abortion
87. Woman on tamoxifen, postmenopausal bleeding – Endometrial hyperplasia/cancer
88. Vaginal discharge, strawberry cervix, motile protozoa – Trichomoniasis
89. Fishy odor, thin gray discharge, clue cells – Bacterial vaginosis
90. Cottage cheese discharge, vulval pruritus, pseudohyphae – Candidiasis

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91. Painless genital ulcer, non-tender nodes – Primary syphilis

92. Painful genital ulcer, tender unilateral node – Chancroid
93. Grouped vesicles, painful ulcer, recurrent – Herpes genitalis
94. Cauliflower-like lesion, HPV 6 & 11 – Condyloma acuminata
95. Painless beefy ulcer, Donovan bodies – Granuloma inguinale
96. Vulval pruritus, thin skin, white plaques – Lichen sclerosus
97. Young girl with precocious puberty, estrogen excess – Granulosa cell tumor
98. Postmenopausal bleeding, history of unopposed estrogen – Endometrial carcinoma
99. 6-week postpartum woman with lactation failure – Sheehan’s syndrome
100. 3 days postpartum with fever, uterine tenderness, foul lochia – Puerperal
endometritis
101. Postmenopausal woman with vulval bleeding and pruritus – Vulvar carcinoma
102. Vulvar mass, pruritus, eczematous lesion, elderly woman – Paget’s disease of
vulva
103. Vulvar ulcer with induration and inguinal nodes – Vulvar squamous cell
carcinoma
104. Multiple vesicles on vulva, burning pain – Genital herpes
105.
SPOT DIAGNOSIS
Young girl with red, friable vaginal mass protruding – Sarcoma botryoides
106. NEET
Postmenopausal woman with
carcinoma
PG
watery vaginal discharge, cervical mass – Cervical

107. Postmenopausal bleeding, endometrial thickness >4 mm – Endometrial

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hyperplasia
108. Heavy menstrual bleeding, enlarged tender uterus – Adenomyosis
109. Uterine mass, severe dysmenorrhea, boggy feel – Adenomyosis
110. Cyclical pain, chocolate cyst on ultrasound – Endometrioma
111. Infertility, adnexal mass, dense adhesions – Endometriosis
112. Enlarged uterus, menorrhagia, pressure symptoms – Fibroid uterus
113. Subfertility, fibroid in submucosal location – Submucosal fibroid
114. Rapidly growing uterine mass, postmenopause – Leiomyosarcoma
115. Recurrent abortion, arcuate uterine cavity on HSG – Uterine septum
116. Congenital uterine anomaly with double fundus shadow – Bicornuate uterus
117. H/o infertility, no uterus on ultrasound – Müllerian agenesis
118. Primary amenorrhea, breast development, absent uterus – Mayer-Rokitansky-
Küster-Hauser (MRKH) syndrome

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119. Tall girl with amenorrhea, scanty axillary hair, 46 XY – Androgen insensitivity
syndrome
120. Short stature, webbed neck, primary amenorrhea – Turner syndrome
121. Hirsutism, oligomenorrhea, elevated LH/FSH ratio – Polycystic ovary syndrome
(PCOS)
122. Infertility, clomiphene given, ovary >10 cm, ascites – Ovarian hyperstimulation
syndrome (OHSS)
123. Obese woman with insulin resistance, anovulation – PCOS
124. Hirsutism, clitoromegaly, elevated testosterone – Androgen-secreting tumor
125. Young female with galactorrhea, amenorrhea, normal TSH – Prolactinoma
126. Female athlete with amenorrhea, low BMI, normal FSH – Hypothalamic
amenorrhea
127. Infertility, low FSH, low LH, normal PRL – Hypogonadotropic hypogonadism
128. Infertility, short luteal phase, low progesterone – Luteal phase defect
129. Menarche <10 years, breast and pubic hair early – Precocious puberty
130. Breast development in 6-year-old girl, advanced bone age – Central precocious
puberty
131.
SPOT DIAGNOSIS
Infant with ambiguous genitalia, salt wasting – Congenital adrenal hyperplasia
(21- hydroxylase deficiency)
132. NEET
Female with primary amenorrhea, PG
no uterus, normal breasts – Müllerian agenesis
133. Female with primary amenorrhea, cyclic abdominal pain – Imperforate hymen
134. Woman with amenorrhea after
GUESSD&C, no endometrial
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syndrome
135. Woman with secondary amenorrhea, withdrawal bleeding with estrogen +
progesterone – Anovulation
136. Amenorrhea, low FSH/LH, low estradiol, stress history – Hypothalamic
amenorrhea
137. No withdrawal bleed with E+P, low FSH – Pituitary failure
138. Hot flashes, high FSH, low estradiol – Menopause
139. Menopause, vaginal dryness, painful intercourse – Atrophic vaginitis
140. Postmenopausal bleeding, thin endometrium – Atrophic endometrium
141. Woman with multiple small follicles, “string of pearls” ovaries – PCOS
142. Teenage girl, sudden abdominal pain mid -cycle – Mittelschmerz
143. Irregular bleeding, normal uterus, hormonal imbalance – Dysfunctional uterine
bleeding (DUB)

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144. Young woman, fever, pelvic pain, cervical motion tenderness – Pelvic
inflammatory disease (PID)
145. Vaginal discharge, strawberry cervix, motile flagellates – Trichomoniasis
146. Vaginal discharge, fishy odor, clue cells – Bacterial vaginosis
147. Cottage cheese discharge, curdy white patches – Candidiasis
148. Positive whiff test, pH >4.5, thin gray discharge – Bacterial vaginosis
149. Recurrent PID, bilateral tubal block – Tubal factor infertility
150. Infertility, normal tubes and semen, anovulation – Ovulatory dysfunction
151. Bilateral tubal block, beaded appearance on HSG – Tubercular salpingitis
152. History of MTP, now with amenorrhea, normal hormones – Asherman’s syndrome
153. Infertility, increased prolactin, galactorrhea – Hyperprolactinemia
154. Infertility, high FSH, low estradiol – Premature ovarian failure
155. Thin endometrium, poor Doppler flow, infertility – Endometrial receptivity defect
156. Woman on tamoxifen, endometrial thickness >5 mm – Endometrial hyperplasia
157. Mid-cycle ovulation pain, brief, unilateral – Mittelschmerz
158. Recurrent miscarriage, high antiphospholipid antibodies – Antiphospholipid
antibody syndrome SPOT DIAGNOSIS
159. Infertility, positive progesterone challenge test – Anovulation
160. Clomiphene resistance, treatedNEET PG drilling – PCOS
with laparoscopic
161. High serum DHEAS, adrenal tumor ruled out – PCOS
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162. Late menarche, irregular cycles, low LH, low FSH – Constitutional delay
163. Endometrial sampling showing disordered proliferative phase – Anovulatory DUB
164. Multiple abortions, hysteroscopy shows adhesions – Asherman’s syndrome
165. Tubal pregnancy, low β -hCG, no gestational sac – Ectopic pregnancy
166. Positive β-hCG, no intrauterine gestational sac – Pregnancy of unknown location
(PUL)
167. Pregnancy, empty uterus, positive β-hCG, adnexal mass – Ectopic pregnancy
168. Recurrent ectopic pregnancies, bilateral tubal block – Salpingitis isthmica nodosa
169. Infertility, open tubes, hydrosalpinx on TVS – Tubal disease
170. Irregular cycles, polycystic ovaries, hirsutism – PCOS
171. Infertility with low BMI, high GH, low FSH – Hypothalamic dysfunction
172. Menorrhagia, prolonged bleeding, no pelvic pathology – Coagulopathy (e.g., vWD)
173. Pelvic mass, ascites, bilateral solid ovarian tumors – Ovarian malignancy

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174. Postmenopausal woman, adnexal mass, CA-125 elevated – Ovarian carcinoma

175. Adnexal mass + Meigs triad – Fibroma of ovary
176. Infertility, normal findings, hysteros copy shows polyps – Endometrial polyp
177. Cervical cytology with LSIL, next step – Colposcopy
178. HSIL on Pap smear, no colposcopy available – LLETZ or excision
179. ASCUS on Pap smear, HPV positive – Colposcopy
180. LSIL in 30-year-old, HPV negative – Repeat Pap in 12 months
181. CIN 3, woman desires fertility – LEEP
182. CIN 1 on biopsy, negative HPV – Observation
183. Woman with CIN 2, desires pregnancy – LEEP
184. Bleeding after coitus, cervical growth – Cervical carcinoma
185. Young woman with 3 miscarriages, positive lupus anticoagulant –
Antiphospholipid syndrome
186. RPR positive, reactive VDRL, pregnancy – Syphilis in pregnancy
187. Pregnant woman with chickenpox exposure – Varicella zoster prophylaxis
188. GDM with macrosomia, polyhydramnios – Poor glycemic control
189. SPOT DIAGNOSIS
GDM screening with 75g OGTT – WHO criteria
190.
191.
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Pregnant woman, TSH 6.0, anti-TPO positive – Subclinical hypothyroidism
Hypertension + proteinuria after 20 weeks – Preeclampsia
192. Eclampsia, refractory to MgSO₄
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193. Preterm contractions, cervical length <2.5 cm – Risk of preterm labor
194. Recurrent second trimester loss, short cervix – Cervical insufficiency
195. PPROM, 33 weeks, no labor, no infection – Expectant management + steroids
196. Foul lochia, uterine tenderness, postpartum – Puerperal sepsis
197. Heavy postpartum bleeding, firm uterus – Genital tract trauma
198. Severe bleeding, uterus relaxed – Uterine atony
199. Postpartum day 10, secondary hemorrhage – Retained placental bits
200. Fever, boggy breast, localized swelling – Breast abscess

201.
202. Multiparous woman, bearing down sensation, cervix visible outside vagina –
Uterine prolapse
203. Middle-aged woman, urinary incontinence with laughing or coughing – Stress
urinary incontinence

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204. Urgency, frequency, urge incontinence, small voids – Overactive bladder

205. Young female, cyclic hematuria, no menstruation – Vesicouterine fistula
206. Persistent watery vaginal discharge post-hysterectomy – Vesicovaginal fistula
207. Fecal leakage per vagina after obstetric trauma – Rectovaginal fistula
208. Woman with urgency, burning micturition, sterile pyuria – Genitourinary
tuberculosis
209. Pelvic mass, ascites, pleural effusion, elevated CA-125 – Meigs syndrome
210. Postmenopausal bleeding, endometrial biopsy shows adenocarcinoma –
Endometrial carcinoma
211. Abnormal Pap smear, HPV 16 positive – High-grade squamous intraepithelial
lesion (HSIL)
212. Cyclical rectal bleeding and dyschezia – Rectovaginal endometriosis
213. Infertility, peritubal adhesions, powder burn lesions – Endometriosis
214. Pelvic mass with solid and cystic areas, hemorrhagic fluid – Endometrioma
215. Nulliparous woman, 5 cm ovarian cyst, no solid components – Simple follicular
cyst
216. Postmenopausal woman, 6 cm ovarian mass, high risk – Suspected ovarian
malignancy
SPOT DIAGNOSIS
217. Rapidly increasing abdominal girth, adnexal mass – Ovarian malignancy
218. NEET
Adolescent with heavy bleeding, PGnormal USG – Anovulatory DUB
irregular cycles,
219. Menorrhagia, dysmenorrhea, and irregular uterine contour – Fibroid uterus
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220. Enlarged uterus, soft, globular, early pregnancy – Uterine enlargement
(physiological)
221. Recurrent abortions, fibrous adhesions on hysteroscopy – Asherman’s syndrome
222. Primary amenorrhea, uterus present, no breast development – Gonadal
dysgenesis (Turner’s)
223. Young woman with cyclical lower abdominal pain, no visible vaginal opening –
Imperforate hymen
224. 45-year-old with vaginal dryness, hot flashes – Menopause
225. Postmenopausal woman on tamoxifen, endometrial polyp on USG – Tamoxifen-
induced endometrial polyp
226. Bloating, pelvic pressure, adnexal mass, elevated CA-125 – Ovarian carcinoma
227. Vaginal discharge, pH <4.5, budding yeast on microscopy – Candidiasis
228. Postmenopausal bleeding, thickened endometrium >4 mm – Endometrial
pathology (investigate)
229. Pelvic mass, hirsutism, deep voice, high testosterone – Sertoli-Leydig tumor

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230. Large uterus, multiple fibroids, anemia – Menorrhagia due to fibroids

231. Pelvic exam shows softening of cervix and uterus – Goodell’s and Hegar’s sign
(pregnancy)
232. Nulliparous woman, continuous dribbling of urine – Ectopic ureter
233. Fertility evaluation, bilateral tubal block on HSG – Tubal factor infertility
234. Chronic pelvic pain, pelvic congestion, varicosities – Pelvic congestion syndrome
235. Infertility, mild dysmenorrhea, normal USG – Minimal endometriosis
236. HSG shows filling defect in uterine cavity – Endometrial polyp
237. Woman with hx of cesarean, now with placenta previa + myometrial invasion –
Placenta accreta spectrum
238. Postpartum hemorrhage unresponsive to uterotonics – Uterine atony
239. Woman with foul-smelling discharge, history of IUD left in situ – Retained foreign
body (IUD-related PID)
240. OCP user, irregular bleeding in first 3 months – Breakthrough bleeding
(hormonal adjustment)
241. Copper-T user with heavier periods – Common side effect of Copper-T
242. Breastfeeding woman with lactational amenorrhea – Physiological anovulation
243. SPOT DIAGNOSIS
Missed pills, breakthrough ovulation – OCP failure
244. POP user (progesterone-only pill), delay in dose by 6 hours – Risk of ovulation
245.
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DMPA user with amenorrhea – Expected effect (normal)
246. IUD user, threads not visible, pregnancy – Suspected IUD failure or expulsion
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247. Emergency contraception within 72 hours – Levonorgestrel (Plan B)
248. Emergency contraception effective up to 120 hours – Ulipristal acetate
249. Woman wants permanent contraception, completed family – Tubal ligation
250. Postpartum woman wants long-term reversible contraception – Intrauterine device
(IUD)
251. Young woman with contraindications to estrogen, needs contraception – Progestin-
only pill or Cu-T

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